This is not uncommon when a child suffers some form of constipation. Constipation doesn't always follow a pattern you think. Why are you barium enema'ing him? So, if a child has trouble going, they often miss signals to go. Or they avoid it. My son was having regular bowel movements but turned out to be constipated when he ended up in the ER with severe abdominal pain. Even when they have BM's, it can be moving slowly and building up within the intestines. You can try giving him a glass of grape juice every day to see if it helps. The average age in the US for boys to get potty trained is 3.5 years old! I'd try the grape juice. Continue praising. And try not to shame or punish for it. Ask him nicely to use the potty. My younger son did not want to get potty trained. I have no idea why. Kept claiming he was the baby. Boy was he stubborn. finally, I just said hey dude, can you just et potty trained already? And he signed and said okay. And he was from that moment on. So, try not to be embarrassed, your son is not the only one who does this and just encourage along the way. And do try the grape juice because my other son had all sorts of issues due to constipation that did not present in the typical way. good luck
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